Individual
DR. JARED TODD GRIFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
057469
GA
207RI0011X
Interventional Cardiology Physician
Primary
057469
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00335669
RR MEDICARE
GA
05
—
035374241A
—
GA
05
—
035374241C
—
GA
05
—
035374241D
—
GA
05
—
035374241E
—
GA
05
—
035374241F
—
GA
05
—
035374241G
—
GA
05
—
035374241H
—
GA
05
—
035374241I
—
GA
05
—
035374241J
—
GA
01
—
933586
BLUE SHIELD
GA
01
—
GRP891
GA MEDICARE GRP NUMBER
GA
Enumeration date
06/28/2006
Last updated
01/05/2015
Update your record
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